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PART KU <br />(For projects nf$1UO.0UDu,more —|C38-1-12~A <br />These statements to be submitted under oath by each bidder with and as part of his/her/its; bid. <br />Attach additional pages for each section moneeded. <br />SECTION I EXPERIENCE QUESTIONNAIRE <br />1. Attach information regarding projects yourorgenizationhmmconnp|mtedfortheperiodoYone <br />(1)year prior tothe date ofthe current bid. <br />2. Attach elisting mfpublic works projects curnantlyinprocwosofnonmtmuotionbyymur <br />organization. <br />3. Attach information regarding any failure to complete any work awarded to you and the <br />location thereof. <br />4.Attach references from private firms for which you have performed work. <br />SECTION UUPLAN AND EQUIPMENT QUESTIONNAIRE <br />1. Attach nnexplanation ofyour plan orlayout for performing proposed work, (Examples could <br />include a narrative of when you could begin vvork, complete the project, number of workers, <br />etc. and any other information which you believe would enable the City of South Band to <br />consider your bid.) <br />2. Attach a listing of the names and addresses of all subcontractors (i.e. persons or firms outside <br />your own firm who have performed part of the vxmdd that you have used on public works <br />projects during the past five (5) years along with ebrief description ofthe work done bveach <br />subcontractor. <br />3. If you intend to sublet any portion of the xxork, attach the name and address of each <br />aubconbautor, equipment to be used by the aubcontnyotor, and whether you will require m <br />bond. Hov*evar, if you are unable to currently provide o Unbng, please understand e listing <br />must be provided prior tocontract approval. Until the completion oYthe proposed project, you <br />are under a continuing obligation to immediately notify the City of South Bend in the event that <br />you subsequently determine that you will use msubcontractor onthe proposed project. <br />4. Attach alisting ofequipment you have available touse for the proposed project. <br />5. Have you entered into contracts or received offers for all materials which substantiate the <br />prices used in pnapohnO your proposal? If not, attach an explanation for the rationale used <br />which would corroborate the prices listed. <br />SECTION III CONTRACTOR'S FINANCIAL STATEMENT <br />Attachment of bidder's financial statement is mandatory. Any bid submitted without said <br />financial statement as required by statute mhmU thereby be rendered invalid. The financial <br />statement provided hereunder to the City of South Bend awarding the contract must be specific <br />enough in detail so that said City of South Bend can make a proper determination of the bidder's <br />capability for completing the project ifawarded. <br />VarsionU7U9/2O28 Contractor's Bid for Public Works '3 <br />